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  • Poznan University of Medical Sciences  (2)
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  • Poznan University of Medical Sciences  (2)
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  • 1
    Online Resource
    Online Resource
    Poznan University of Medical Sciences ; 2018
    In:  Journal of Medical Science Vol. 87, No. 2 ( 2018-07-02), p. 92-98
    In: Journal of Medical Science, Poznan University of Medical Sciences, Vol. 87, No. 2 ( 2018-07-02), p. 92-98
    Abstract: Background. Coronary artery disease (CAD) is one of the most important causes of death in both men and women. There are many gender differences among patients with CAD, including risk factors and acute coronary syndrome (ACS) outcomes. The latest reports showed that mortality due to CAD is higher in women than in men. Cardiac biomarkers play an important role in risk stratification and choice of treatment strategy in patients with ACS, however some of cardiac biomarkers show worse sensitivity and specificity in women.Aim. The aim was to investigate the sex-related differences in patients with acute coronary syndrome and to compare their sex-related risk of in-hospital mortality.Material and Methods. Single-center study of patients diagnosed with ACS who underwent precutaneous coronary intervention (PCI). Patients were diagnosed and treated according to ESC Guidelines. Statistical analysis was performed using StatSoft Statistica.Results. Of the 297 patients included in this study, 32% were women and 68% were men. There were 26.94% STEMI patients, 22.22% NSTEMI patients and 50.84% unstable angina patients. Compared with males, females were significant older (68.2 ± 10.6 vs. 64.8 ± 11.0; p = 0.0175). Levels of biomarkers of myocardial injury were significantly lower in women: CK-MB (p = 0.0241), troponin I (p = 0.0417) and CK (p = 0.0035) than in men. Women were less frequently treated with PCI or CABG (p = 0.0016) but the in-hospital outcomes (cardiogenic shock, sudden cardiac arrest or cardiac death) were similar in both groups (p = 0.8557).Conclusions. Women with ACS were older and have higher incidence of non-ST-elevation ACS than men.. In-hospital mortality show no significant difference between genders. Women were less likely to receive invasive treatment.
    Type of Medium: Online Resource
    ISSN: 2353-9801 , 2353-9798
    Language: Unknown
    Publisher: Poznan University of Medical Sciences
    Publication Date: 2018
    detail.hit.zdb_id: 3076476-2
    Library Location Call Number Volume/Issue/Year Availability
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  • 2
    In: Journal of Medical Science, Poznan University of Medical Sciences, Vol. 86, No. 2 ( 2017-06-30), p. 154-162
    Abstract: Aim. The aim of this study was to obtain information, whether patients with heart failure (HF) follow medical indications and if there are any sociodemographic differences between compliant and noncompliant patients and how lifestyle changes contribute to the patients’ wellbeing.Material and Methods. A survey was carried out in 198 patients hospitalized in I Clinic of Cardiology in Poznan. Patients were divided into groups: P1- no lifestyle changes, P2- 1 of 4 verified lifestyle modifications, P3- 2 or 3 verified lifestyle modifications, P4- all 4 verified lifestyle modifications.Results. People over the age of 65 mostly constitute groups of low compliance (p = 0,055). Men are more eager to change their lifestyle (91,4% in P3 and 85,7% in P4). Women belong mainly to groups with low compliance (p = 0,0001). Respondents who reported condition improvement were less likely to describe decreased sexual activity (59,6% vs 38,2%, p = 0,078), which acted as an important determinant of family relations. However, our analysis demonstrated a non-significant impact of adherence to indicated lifestyle modifications on patients’ wellbeingConclusions. Compliant patients are statistically younger and more often male. Level of education is the least important determinant of compliance. There is no significant impact of adherence to indicated lifestyle modifications on patient’s wellbeing. Compliant patients are less likely to reduce their sexual activity, which showed to be an important family relationship factor.
    Type of Medium: Online Resource
    ISSN: 2353-9801 , 2353-9798
    Language: Unknown
    Publisher: Poznan University of Medical Sciences
    Publication Date: 2017
    detail.hit.zdb_id: 3076476-2
    Library Location Call Number Volume/Issue/Year Availability
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